FORM - A
Form for seeking prior approval of Central Government under section 2 of the Forest(Conservation) Act,1980 for Diversion of fresh forest area
PART - I
(To be filled up by User Agency)
A. General Details
A-1. Project Details
  (i). Proposal No. : FP/UK/ROAD/12710/2015   (ii). Name of Project for which Forest Land is required : Construction of Bageshwar-Balighat-Dharmghar motor road to Khantola(Khitoli) Bridge to Gurgucha Basic School motor road(Length 3.00 km)   (iii). Short narrative of the proposal and Project/scheme for which the forest land is required : Construction to Khantola(Khitoli) Bridge to Gurgucha Basic School motor road(Length 3.00 km) Starting from Km 20 of BDDK Motor Road. Connecting Villages of Gurgucha,Basic School in Teshsil-Kapkot, District-Bageshwar   (iv). State : Uttarakhand   (v). Category of the Proposal : Road   (vi). Shape of forest land proposed to be diverted : Linear   (vii). Estimated cost of the Project(Rupees in lacs) : 138   (viii). Area of forest land proposed for diversion(in ha.): 0.63   (ix). Non-forest land required for this project(in ha.): 1.485   (x). Total period for which the forest land is proposed to be diverted(in years): 100
A-2. Details of User Agency
  (i). Name : PWDKAPKOT   (ii). Address1 : C.D.P.W.D.KAPKOTE   (iii). Address2 : BAGESHWAR   (iv). State : Uttarakhand   (v). District : Bageshwar   (vi). Pin : 263642   (vii). Landmark : Kapkot   (viii). Email address : cdpwdkapkot@gmail.com   (ix). Landline Telephone No. : 5963-253385   (x). Fax No. : 5963-253385   (xi). Mobile No. : 9639377012   (xii). Website (if any) : NIL   (xiii). Legal status of User Agency : Central Government
A-3. Details of Person Making Application
  (i). First Name: Sanjay Kumar Pandey   (ii). Middle Name: Kumar   (iii). Last Name: Pandey   (iv). Gender: Male   (v). Designation: E.E.   (vi). Address 1: C.D.P.W.D.KAPKOTE   (vii). Address 2: BAGESHWAR   (viii). State: Uttarakhand   (ix). District: Bageshwar   (x). Tehsil: Kapkot   (xi). Pin: 263642   (xii). Landmark: kapkot   (xiii). Email Address: cdpwdkapkot@gmail.com   (xiv). Landline Telephone No.: 5963-253385   (xv). Fax No.: 05963253385   (xvi). Mobile No.: 9719471059   (xvii). Copy of documents in support of the competence/authority of the person making this application to make application on behalf of the User Agency:
B. Details of land required for the Project
B-1. Details of proposal seeking prior approval of Central Government under the Act for diversion of forest land for the Project already submitted in the past
List of proposal submitted in Past
S.no Proposal Status. Proposal No. Moef File No. Area Proposed for Diversion(Ha.) Area Diverted(Ha.) Date of In-Principle Approval Date of Final Approval
NIL
B-2. Details of forest land proposed to be diverted
B-2.1 Details of Divisions involved
Details of Divisions involved
S.no Division Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar0.631.485
Total0.631.485
B-2.2 Details of Districts involved
District wise breakup
S.no District Name Forest Land(ha.) Non-Forest Land(ha.)
1.Bageshwar0.631.485
Total0.631.485
B-2.3 Village wise breakup
Villages wise breakup
S.no Village Forest Land(ha.) Non-Forest Land(ha.)
1Gurgucha0.631.485
Total 0.63 1.485
B-2.4 Component wise breakup
Component wise breakup
S.no Component Forest Land(ha.) Non-Forest Land(ha.)
1Road0.630.765
2Muck Dispogal00.72
Total 0.63 1.485
C. Maps of forest land proposed to be diverted
Division 1. : Bageshwar
  (i). Area of forest land proposed to be diverted(in ha.) : 0.63   (ii). Nature of the Project: Linear   (b). No. of Segments : One
Segment wise details
Segments Segment Area(in ha.) Kml File of Segments
(To view KML file on google the same may be downloaded and then open if in google earth install in your computer).
1.0.63    View File
  (iii). Copy of Survey of India Toposheet indicating boundary of forest land proposed to be diverted:   (iv). Scanned copy of the Geo-referenced map of the forest land proposed to be diverted prepared by using GPS or Total Station:
D. Justification for locating the Project in forest land and details of alternatives examined:
  (i). Copy of note containing justification for locating the Project in forest land:   (ii). Whether a copy of map indicating location of alternative examine is required to be provided: Yes   (a). Copy of map indicating location of alternative examined:
E. Employment likely to be generated
  (i). Whether the Project is likely to generate employment ?: Yes   (ii). Permanent/Regular Employment(Number of persons): 0   (iii). Temporary Employment(Number of person-days): 10800
F. Displacement of People due to the Project, if any
  (i). Whether Project involves displacement?: No
G. Details of Cost-Benefit analysis for the Project
  (i). Whether the Project requires Cost-Benefit analysis?: No
H. Status of Environmental Clearance
  (i). Whether the Project requires Clearance under the Environment (Protection) Act 1986 ? : No
I. Status of Wildelife Clearance
  (i). Whether the Project or a part thereof is located in any Protected Area or their Eco sensitive zone? : No
J. Applicability of special provisions governing Scheduled Areas
  (i).Whether the Project or a part thereof is located in a Scheduled Area? : No
K. Status of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted
  (i). Whether the process for settlement of Rights under the Forest Rights Acts 2006 on the forest land proposed to be diverted has been completed? : Yes   (a). Copy of documentry evidence in support of settlement of rights under the Forest Rights Act,2006 on the forest land proposed to be diverted:
L. Details of land identified for Compensatory Afforestation
  (i). Whether non-forest or Revenue forest land is required to be provided by User Agency?: Not Applicable   (ii). Whether the area of non-forest land or Revenue forest land required to be provided by User Agency for raising Compensatory Afforestation is less than area of forest land proposed to be diverted ?: Not Applicable   (iii) . Reason for not providing Non-Forest Land: Not Applicable
Additional information Details
Documents
S.No Documents
Remarks
1containing justification for locating the Project in forest land
2Certificate by DM- Forest right act 2006 reg.(in MoEF revised (FRA)
3A 1.9If non-forest or Revenue forest land is required to be provided by
4Copy of Mou/agreement executed between the Present owner and
5Administrative and Financial sanction
6Preliminary Joint Inspection report
7Comperative chart showing statement of both alignment or alternate
8Certificate from the DM that no alternative suitable non-forest
9Land schedule (for RF signed by DFO and civil soyam, Van
10Land schedule (Khshra)
11Category wise (RF,civil soyam, Van panchayat and private nap land
12Bar Chart with index (counter signed by DFO).
13Compensatory afforestation scheme in Civil and Soyam land (10 year
14reg. suitability of indentified land for Comensatory
15Undertaking by the User Agency to bear the cost of compensatory
16Road side/gap filling plantation estimate
17Details of the trees with their scientific name in RF, Civil Soyam 0-10 dia trees will be mentioned as saplings
18Felling of Oak trees (if involves, inspection report of the concerning
19Certificate of felling minimum trees during the project work.
20Muck disposal scheme (
21Whether project area is a part of National Park or sanctuary and airal
22No voilation has taken place, FC Act. 1980 reg.
23NOC from local Gram Sabhas.
24Certificate- work has not been started reg
25Geologist Report (Govt. approved Geologist).
26Task Force report
27Manak Shartain
28Certificate by user agency for complying the condition imposed ingeologist report/Task Forcex
29No historical/monumental or relegeous place will be effected
30Undertaking regarding no animal will be effected adversely by the
31Undertaking to provide alternative fuelwood, kerosene or LPG to
32Benefited villages /Families/ Population certificateBenefited villages /Families/ Population certificate
332.36NPV calculation certificate as per Hon'ble Supreem court /MoEF
34Undertaking of payment of NPV, if Hon'ble Supreem Court increses
35other doc
36Check list/Fact sheet.
37FRA DOCUMENT
38Obj remove Proposal No- 12710/2015 Obj dated 27-04-2016
39EDS Dated 24-04-2016 & 26-10-2015
40Hard copy letter
41Nodal office send to Hard Copy Government of India
42Sir the hard copy of the proposal has been submitted with the referenced letter no-81/2E dated 10-01-2017.
43EDS Dated 01-09-2017
44Receiving copy
45Eds Dated 25-09-2019
46Eds Dated 28-11-2019
47eds Dated 19-08-2020
48Eds dated 19-09-2020
49Eds Dated 11-11-2020
50Eds Dated 21.01.2021
51Eds Dated 30-04-2021
52Eds Dated 16-08-2021
53Eds dated 04-09-2021
54Eds Dated 29-12-2021
55khantoli bridge eds dated 25-05-2022
56Eds Dated 06-08-2024
57eds Dated 28-09-2024
58Balighat